基于人用经验的医疗机构中药制剂临床实践数据采集要点探讨

Analysis of Key Points in Clinical Practice Data Collection for Hospital-Prepared Traditional Chinese Medicine Formulations Based on Human Use Experience

  • 摘要: 在中医药传承创新发展及“中医药理论、人用经验、临床试验”三结合审评证据体系建设的背景下,医疗机构中药制剂成为中药新药转化的重要来源。规范采集医疗机构中药制剂人用经验临床实践数据,对于推动人用经验总结和研发转化具有关键性作用。本文基于政策要求与方法学规范,明确了数据采集的核心要素,涵盖用于纳入排除标准的信息、暴露/干预变量、结局变量、协变量等关键维度,并提出借助因果有向无环图(DAG)指导变量识别与采集。同时强调了多项关键要求,包括注重信息收集的合规化与数据采集的结构化,确保中医诊断信息采集的规范化,推动院外结局、竞争结局记录的常态化以及生物-心理-社会医学模式应用的维度化,为构建高质量人用经验数据集提供方法学支持,助力医疗机构中药制剂的循证转化与中药新药研发。

     

    Abstract: Against the backdrop of promoting the inheritance, innovation, and development of traditional Chinese medicine (TCM) and the establishment of the "three-combination" review evidence system integrating "TCM theory, human use experience, and clinical trials", hospital-prepared TCM formulations have become a vital source for transforming new TCM drugs. Standardized collection of clinical practice data from human use experience of these formulations plays a key role in summarizing such experience and facilitating research and development transformation. Based on policy requirements and methodological guidelines, this paper identifies the core elements of data collection, covering key dimensions such as target population characteristics, study factors, outcome variables, and covariates. It also proposes the use of causal directed acyclic graphs (DAG) to guide variable identification and collection. Additionally, this study emphasizes key methodological requirements including a focus on regulatory compliance in information gathering and structured processes in data acquisition, ensuring the standardization of TCM diagnostic information collection, and promoting the routine documentation of out-of-hospital outcomes and competing endpoints, along with the dimensional integration of the biopsychosocial medical model. This provides methodological support for constructing high-quality human use experience datasets, thereby facilitating evidence-based transformation of hospital-prepared TCM formulations and the development of new TCM drugs.

     

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